NUR 384 Final 2026/2027 Exam
Questions and Answers |
Already Graded A+
What should be the priority nursing diagnosis for a client experiencing
alcohol withdrawal?
1. Risk for injury R/T central nervous system stimulation
2. Disturbed thought processes R/T tactile hallucinations
3. Ineffective coping R/T powerlessness over alcohol use
,4. Ineffective denial R/T continued alcohol use despite negative
consequences - ANSWER ✔✔1. Risk for injury R/T central nervous
system stimulation
Alcohol withdrawal may
include the following symptoms: course tremors of hands, tongue, or
eyelids; nausea or vomiting; malaise or weakness; tachycardia;
sweating; elevated blood pressure; anxiety; depressed mood;
hallucinations; headache; and insomnia.
A nurse evaluates a client's patient-controlled analgesia (PCA) pump
and notices 100 attempts within a 30-minute period. Which is the best
rationale for assessing this client for substance addiction?
1. Narcotic pain medication is contraindicated for all clients with active
substance use disorders.
2. Clients who are addicted to alcohol or benzodiazepines may develop
cross-tolerance to analgesics and require increased doses to achieve
effective pain control.
,3. There is no need to assess the client for substance addiction. There is
an obvious
PCA malfunction, because these clients have a higher pain tolerance.
4. The client is experiencing alcohol withdrawal symptoms and needs
accurate
assessment. - ANSWER ✔✔2. Clients who are addicted to alcohol or
benzodiazepines may develop cross- tolerance to analgesics and
require increased doses to achieve effective pain control.
On the first day of a client's alcohol detoxification, which nursing
intervention
should take priority?
1. Strongly encourage the client to attend 90 Alcoholics Anonymous (AA)
meetings in 90 days.
2. Educate the client about the biopsychosocial consequences of alcohol
abuse.
3. Administer ordered chlordiazepoxide (Librium) in a dosage according
to protocol.
COPYRIGHT©NINJANERD 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, 4. Administer vitamin B1 to prevent Wernicke-Korsakoff syndrome. -
ANSWER ✔✔3. Administer ordered chlordiazepoxide (Librium) in a
dosage according to protocol.
Chlordiazepoxide is a
benzodiazepine and is often used for substitution therapy in alcohol
withdrawal to reduce life-threatening complications.
Which client statement indicates a knowledge deficit related to a
substance use disorder?
1. "Although it's legal, alcohol is one of the most widely abused drugs in
our society."
2. "Tolerance to heroin develops quickly."
3. "Flashbacks from lysergic acid diethylamide (LSD) use may reoccur
spontaneously."
4. "Marijuana is like smoking cigarettes. Everyone does it. It's essentially
harmless." - ANSWER ✔✔4. "Marijuana is like smoking cigarettes.
Everyone does it. It's essentially harmless."
Questions and Answers |
Already Graded A+
What should be the priority nursing diagnosis for a client experiencing
alcohol withdrawal?
1. Risk for injury R/T central nervous system stimulation
2. Disturbed thought processes R/T tactile hallucinations
3. Ineffective coping R/T powerlessness over alcohol use
,4. Ineffective denial R/T continued alcohol use despite negative
consequences - ANSWER ✔✔1. Risk for injury R/T central nervous
system stimulation
Alcohol withdrawal may
include the following symptoms: course tremors of hands, tongue, or
eyelids; nausea or vomiting; malaise or weakness; tachycardia;
sweating; elevated blood pressure; anxiety; depressed mood;
hallucinations; headache; and insomnia.
A nurse evaluates a client's patient-controlled analgesia (PCA) pump
and notices 100 attempts within a 30-minute period. Which is the best
rationale for assessing this client for substance addiction?
1. Narcotic pain medication is contraindicated for all clients with active
substance use disorders.
2. Clients who are addicted to alcohol or benzodiazepines may develop
cross-tolerance to analgesics and require increased doses to achieve
effective pain control.
,3. There is no need to assess the client for substance addiction. There is
an obvious
PCA malfunction, because these clients have a higher pain tolerance.
4. The client is experiencing alcohol withdrawal symptoms and needs
accurate
assessment. - ANSWER ✔✔2. Clients who are addicted to alcohol or
benzodiazepines may develop cross- tolerance to analgesics and
require increased doses to achieve effective pain control.
On the first day of a client's alcohol detoxification, which nursing
intervention
should take priority?
1. Strongly encourage the client to attend 90 Alcoholics Anonymous (AA)
meetings in 90 days.
2. Educate the client about the biopsychosocial consequences of alcohol
abuse.
3. Administer ordered chlordiazepoxide (Librium) in a dosage according
to protocol.
COPYRIGHT©NINJANERD 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, 4. Administer vitamin B1 to prevent Wernicke-Korsakoff syndrome. -
ANSWER ✔✔3. Administer ordered chlordiazepoxide (Librium) in a
dosage according to protocol.
Chlordiazepoxide is a
benzodiazepine and is often used for substitution therapy in alcohol
withdrawal to reduce life-threatening complications.
Which client statement indicates a knowledge deficit related to a
substance use disorder?
1. "Although it's legal, alcohol is one of the most widely abused drugs in
our society."
2. "Tolerance to heroin develops quickly."
3. "Flashbacks from lysergic acid diethylamide (LSD) use may reoccur
spontaneously."
4. "Marijuana is like smoking cigarettes. Everyone does it. It's essentially
harmless." - ANSWER ✔✔4. "Marijuana is like smoking cigarettes.
Everyone does it. It's essentially harmless."
